This protocol is indicated for older patients with cervical spinal stenosis presenting with mild cervical myelopathy, where the spinal canal remains relatively wide and sensory evoked potentials are within normal limits. This combination of findings identifies a population in whom non-surgical management is an appropriate and evidence-supported choice.
Management is centred on conservative treatment with close clinical monitoring. The protocol involves immobilization measures, pharmacological support, and several additional interventions targeting cervical spine stability and load reduction — the complete structured regimen is available via the link below.
DOI: 10.3238/arztebl.2008.0366